Loading...
HomeMy WebLinkAbout466828 AECOM TECHNICAL SERVICES INC - INSURANCE CERTIFICATE (10)ACORD® CERTIFICATE OF LIABILITY INSURANCE D 2/07/2017DnYYY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Marsh Risk & Insurance Services CA License #0437153 CONTACT NAME: RAX PHONE A/C No): EMAIL ADDRESS: 777 South Figueroa Street Los Angeles, CA 90017 Attn: LosAngeles.CertRequest@Marsh.Com INSURERS AFFORDING COVERAGE NAIC # -_ INSURER A: Zurich American Insurance Company 16535 06510 -STND-GAUL-17-18 Fort C GLALP 03 2020 INSUREDAECOM Technical Services Inc. INSURER B : N/A N/A INSURER C: AIG Specially Insurance Company 26883 1601 Prospect Parkway INSURER D : SEE ACORD 101 Fort Collins, CO 80525 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: LOS-002123530-14 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR OF INSURANCE ADDLTYPE 2L%I SUER POLICY NUMBER MM DPOLIDY IYYYY MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY GLO596589109 04/01/2017 04/01/2018 EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE X OCCUR DAMAGE PREMISES Ea occurrence $ 1,000,000 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GENT AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE $ 1,000,000 X JECT POLICY ❑ PRO ❑ LOC PRODUCTS -COMP/OP AGG $ 1,000,000 $ OTHER. A AUTOMOBILE LIABILITY BAP 5965893 09 04/01/2017 04/01/2018 COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) $ XnANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY UMBRELLA LIAB OCCUR EACH OCCURRENCE $ HCLAIMS-MADE AGGREGATE $ EXCESS LIAB DED I I RETENTION $ $ D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE __ OFFICER/MEMBER EXCLUDED? N] (Mandatory in NH) N/A SEEACORD101 01/01/2019 X PER OTH- STATUTE ER E. L. EACH ACCIDENT $ 2,000,000 E.L. DISEASE - EA EMPLOYEE $ 2,000,000 E.L. DISEASE - POLICY LIMIT $ 2,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below C CONTRACTORS CPL 1814870 04/01/2017 04/01/2018 Per Loss/ Aggregate 4,000,000 POLLUTION LIABILITY "'"CLAIMS -MADE""' DEFENSE INCLUDED DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Re, Professional Services Agreement between The City of Fort Collins, Colorado and AECOM Technical Services, Inc. RFP 8047 Environmental Services. The City, its officers, agents and employees are named as additional insureds for GL & AL coverages, but only as respects work performed by or on behalf of the named insured. This insurance is primary and non- contributory over any existing insurance and limited to liability arising out of the operations of the named insured and where required by written contract with respect to the GL & AL coverages. CERTIFICATE HOLDER CANCELLATION The City of Fort Collins, Colorado SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE P.O. Box 580 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Fort Collins, CO 80522 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE of Marsh Risk & Insurance Services James L. Vogel ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 26 (2016/03) The ACORD name and logo are registered marks of ACORD ACORO® AGENCY CUSTOMER ID: 06510 LOC #: Los Angeles ADDITIONAL REMARKS SCHEDULE AGENCY NAMED INSURED Marsh Risk & Insurance Services AECOM Technical Services Inc. 1601 Prospect Parkway POLICY NUMBER Fort Collins, CO 80525 CARRIER I NAIC CODE EFFECTIVE DATE: AUUI I IUNAL KtMAKr%b THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance Workers Compensation/Employer Liability cont. Policy Number Insurer WC 014629525 American Home Assurance Company - NAIC #19380 WC 014629526 The Insurance Company of the State of Pennsylvania - NAIC #19429 WC 014629527 The Insurance Company of the State of Pennsylvania - NAIC #19429 WC 014629528 The Insurance Company of the State of Pennsylvania - NAIC #19429 WC 014629529 The Insurance Company of the State of Pennsylvania - NAIC #19429 XWC 0910717 Nat'l Union Fire Ins Co - NAIC #19445 qualified States Covered CA AK, AL, AR, AZ, CO, CT, DC, DE, GA, HI, IA, ID, IL, IN, KS KY, LA, MD, MI, MN, MO, MS, MT, NC, NE, NH, NJ, NM, NV, NY, OK, OR, PA, RI, SC, SD, TN, TX, UT, VA, VT, WV MA, WI (ND, OH, WA, WI, WY - Covered for Stop -Gap EL only) FL ME OH, Ohio Qualified Self Insured (QSI) - SIR: $500,000, Only applicable to specific entities self -insured in the state of Ohio Architects & Eng. Professional Liability, Carrier: Illinois Union Insurance Company, NAIC #2790, Policy #: EON G21654693, Policy Term: 04/01/2017 - 04/01/2018, "Claims Made," Defense Included, Limit: $1,000,000 Waiver of Subrogation is applicable where required by written contract with respect to WC. If the insurer for the Workers Compensation policy cancels its policy for any reason other than for non-payment of premium, the insurer will provide 30 days notice of cancellation to those Certificate Holders that require it by written contract. Page 2 of 2 ACORD 101 (2008101) IV) LVVO A%JVrtU VVr[r'VIIN I IVIN. MIN 1191- Ic7GYGY The ACORD name and logo are registered marks of ACORD